Monfore, Peter

Monfore, Peter was paid $1.03M by Medicaid between Jan 2018 and Dec 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoMONFORE, PETER
IRVINE, CA 92604

33aNPI1255369229assigned 06/29/2006

33bProvider typeFamily Medicine Physician

28Total paid$1.03M

24GClaims15,735

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#165 of 2,511

Median peer was paid$13K

This provider vs. median80×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	5,026	$322K
2019	4,117	$263K
2020	3,188	$196K
2021	3,404	$247K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	6,021	5,009	$438K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	26%	3,646	3,108	$271K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	3,500	3,103	$259K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.7%	651	625	$48K
99070		<1%	402	398	$8K
71046	Radiologic examination, chest; 2 views	<1%	44	39	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$687.50
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	397	371	$510.27
81002		<1%	1,022	950	$345.26
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	27	26	$75.00
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	12	12	$1.16

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.